高中住宿生适应障碍调查及应对措施

目的探讨高中住宿生适应障碍的表现、成因及应对措施。方法对三所学校254名住宿新生适应不良者进行观察、晤谈、随访;对34例适应障碍的来访者进行咨询、分析和归纳。结果住宿新生适应障碍主要表现在学习、人际交往和角色适应等三个方面。形成的原因是社会历史文化、应激因素和个人素质共同作用的结果。结论应大力加强住宿新生的心理健康教育,进行相应的教学和管理的改革。     

需要关注的大学新生609例适应状况调查分析

目的：探讨经心理普测提示可能存在心理问题需要关注的大学新生的适应状况,为学校开展心理健康教育工作提供依据。方法：采用《中国大学生心理健康量表》和《中国大学生适应量表》对大学新生进行测查,使用Stata10．0软件对所得数据进行统计分析。结果：（1）女生在人际关系适应、学习适应、择业适应3个分量表得分上高于男生,但差异无统计学意义（P〉0．05）。（2）独生子女在人际关系适应、学习适应、校园生活适应、择业适应、情绪适应、自我适应及满意度得分均高于非独生子女,且在人际关系适应上差异有统计学意义（P〈0．05）。（3）公办生在学习适应、校园生活适应、情绪适应3个分量表得分高于民办生,且在校园生活适应上差异有统计学意义（P〈0．05）。（4）发现大城市,中小城市,小城镇,农村新生之间除人际关系适应差异有统计学意义外（P〈O．05）,其余各分量表得分差异都无统计学意义（P〉0．05）。（5）理工类、文史类、体艺类、医学类新生在适应各分量表上的得分差异均无统计学意义（P〉0．05）。结论：不同群体大学新生的适应状况有所不同,应根据调查结果针对性开展心理健康教育工作,帮助新生尽快适应大学新环境。     

思想道德修养与法律基础课在大学新生心理调适中的作用

大学生是国家的储备人才,是社会主义建设的中坚力量,他们的身心素质直接关系着其成才的规格和质量,良好身心的培育需要从大学生入校开始。思想道德修养与法律基础课是大学新生学习的第一门思想政治理论课程,在大学新生心理适应问题的调适中具有难以替代的独特优势。本文从大学新生心理适应问题的主要表现、产生的的基本原因、思想道德修养与法律基础课在帮助大学新生解决心理适应问题中的作用三个方面探讨了思想政治理论课在大学新生心理适应问题调适中的作用。     

温州市某医科大学新生心理健康与学习适应关联性分析

目的：探讨大学新生心理健康与学习适应的关联性.方法：在温州市某医科大学2011级新生中,采取随机分层整群抽样的方法,抽取1226人作为研究对象,对其心理健康和学习适应进行调查,使用广义线性模型探讨两者间的关联性.结果：新生中无心理问题、心理健康应给予关注的心理问题和可能有心理问题检出率分别为41.19％、48.53％和10.28％;考试挂科、经济困难、非浙江籍和健康状况较差者,其心理健康水平显著低于对照组（P＜0.05）.学习动力和学习行为得分分别为63.90 ±9.51和93.51±12.70,校正相关混杂因素后,学习动力和学习行为得分均与应受关注或可能存在心理问题的罹患风险间存在显著的负相关关系（P＜0.001）,且呈现出明显的线性趋势（P＜0.001）.结论：大学新生的心理健康问题筛出率较高,学业适应可能是其重要的独立影响因素.     

论大学生适应状况与人格特征及其应对策略

通过对400余名大学新生进行适应状况和人格特征的测试分析，表明适应的确是大学新生普遍面临的发展问题，提出应将实施以发展性模式为主、干预性模式为辅的新生适应教育策略，注重开展的丰富多彩有助于促进和改进家庭教育的活动。     

团体箱庭疗法对大学新生适应不良干预效果持续性的研究

目的:了解团体箱庭疗法、团体心理辅导对大学新生适应不良的干预效果,分析两者干预效果出现差异的原因。方法:采用《中国大学生适应量表》(CCSAS)和《症状自评量表》(SCL-90)筛选出14名适应不良的大学新生,将他们分成2组,分别采用限制性团体箱庭疗法和以团体活动为主的团体心理辅导进行干预研究。结果:团体箱庭疗法和团体心理辅导对缓解大学新生适应不良都具有良好的效果,但团体箱庭疗法在缓解情绪适应的效果要优于团体心理辅导。结论:团体箱庭疗法对大学新生适应不良干预效果的持续性更优于团体心理辅导。     

护理学专业专科新生入学后应激与适应状况的调查与分析

目的探讨护理学专业专科新生入学后应激与适应状况，为新生入学教育形式及内容提供参考，更好地帮助新生适应大学生活。方法对某一全国重点大学217名护理学专业专科新生进行问卷调查，并对问卷内容进行反复阅读，整理出有关应激原、应激反应、应对与适应结果等几方面的资料，将资料录入SPSS10．0数据库并进行描述性的统计学分析。结果护理学专业专科新生入学后面临的应激原主要包括生活环境改变、学习方式改变、人际关系和考试等九个方面。应激反应包括以情绪改变为主的四个方面。采取增加对应激原的抵抗力、寻求支持系统的帮助为主的五种应对方式。92．1％的新生表示适应良好。结论为高校教师提供有关心理学理论及实践技巧方面的培训，借鉴往届护理学专业专科学生入学后应激与适应情况做好新生的心理健康教育工作。     

开展新生适应教育的实践

研究和实践表明,大学一年级是学生大学阶段心理和学习等方面出现问题较多的一个时期。究其原因,很大程度上是他们在变化了的新环境中产生的一系列不适应所致。因此,教育和引导大学生尽快适应新环境,顺利完成由中学生到大学生的角色转换,是高校教育工作者面临的一项紧迫而艰巨的任务,也是大学新生的大学生活能否具有良好开端的关键所在。我们的具体措施之一是对他们进行适应教育。以前,我校的新生适应教育局限于新生入学第一周,且只有2～3天的时间,很不适应大学教育、大学新生和大中学德育衔接的需要,效果非常有限。自1991年改革以来,收到了…     

浅谈大学新生不适应现象及解决对策

从学习环境、生活环境、人际交往、心理调适四个方面深入分析了新生进入大学后出现的不适应现象,从家庭、学校、社会、自身等方面分析了新生出现不适应现象的基本原因,以便对新生进行有针对性的教育及引导。使新生尽快适应大学生活的对策是教育、引导新生学会自我学习、学会生活、学会人际交往、学会心理调适。同时,也迫切需要大学教育工作者及时的了解、分析、掌握大学新生所存在的不适应现象,帮助大学新生尽快适应大学生活,促进当代大学生健康的成长、成才。     

少数民族医学新生心理转型与适应过程的分析研究

目的通过对少数民族医学院校新生选择医学专业的动机、影响因素以及对医学院校学生的学习和生活的情况调查,了解其心理转型及适应过程。对提高学生的学习积极性和消除不良影响起到推动作用。方法对医学院校2006级全体新生采用问卷方式进行调查,内容涉及大学学习生活、选择医学的原因、学习方法,学习动机、奋斗目标及理想职业等方面。结果被调查的新生有97%能较快适应大学生活和学习,91.7%在进入大学后都有明确的学习目标,78.3%希望将来能够从事医学相关方面的工作。结论对医学专业大学新生的教育,应在注重并掌握每个学生的心理特征的基础上,进行针对性的引导教育,使其尽快适应医学专业的学习。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.